ATI LPN
ATI LPN Med Surg Concept 2 Exam Questions
Extract:
Question 1 of 5
A patient with type 1 DM expresses concern about developing retinopathy due to a chronic disease. How should the nurse reply?
Correct Answer: C
Rationale: Good control of blood glucose levels and blood pressure is essential in reducing the risk of diabetic retinopathy and its progression. Research has shown that maintaining tight glycemic control and managing hypertension can significantly decrease the likelihood and severity of retinopathy in patients with diabetes.
Question 2 of 5
A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The primary purpose of the spacer is to increase the amount of medication that reaches the lungs and to reduce the amount deposited in the oropharynx (throat). The spacer helps to ensure that more medication is delivered directly to the airways where it is needed, thereby enhancing the effectiveness of the treatment and reducing side effects.
Question 3 of 5
The nurse is providing care for a patient admitted for a lower respiratory infection. On admission, the patient's vital signs were blood pressure (BP) 140/80 mm Hg. apical pulse (AP) 112 beats/minute, respirations (R) 32 breaths/minute, and pain level of 8 on a scale of 0 to 10. After assisting the patient to bed and applying the prescribed oxygen, which finding helps the nurse evaluate the effectiveness of nursing care?
Correct Answer: B
Rationale: A decrease in the respiratory rate from 32 breaths/minute to 20 breaths/minute indicates improved respiratory status and effectiveness of nursing care.
Question 4 of 5
Management of asthma involves avoidance of triggers. Which environmental triggers will the nurse suggest the patient eliminate? Select all that apply.
Correct Answer: B,C,D,E
Rationale: B. Beta-blocking medications can worsen asthma symptoms by constricting the airways. C. Exposure to secondhand smoke is a well-established trigger for asthma symptoms. D. Carpeting and drapes can harbor dust mites, pet dander, and other allergens. E. Pets can be potent allergens for individuals with asthma.
Question 5 of 5
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?
Correct Answer: B
Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs), including ibuprofen, are known to increase the risk of peptic ulcer formation by disrupting the protective mucosal barrier of the stomach and duodenum.